Acute Myeloid Leukemia Simulating Meningitis

REPORT OF CASE History. —Miss M. W. (589), aged 17, telephone operator, was admitted to the City Isolation Hospital, St. Louis, Sept. 17, 1919, having been transferred from the St. Louis City Hospital because it was suspected that she had meningitis. Her past general health had been good. Of significance in the past history is the fact that she had had an alveolar abscess of the superior right maxilla five months before admission. The abscess had been lanced three times during the past three months. It had given no trouble for the past two and a half months. Occasionally during the past four months the patient complained of swelling of the feet in the evening. Three times she fainted while at work. The present illness began five days before admission with headache (occipital) and slight vertigo. The patient vomited twice during the first day of illness, although she was not